Rottler Philipp, Wilke Axel, Kasper Hans Udo, Hütter Felix
Department of Orthopedics and Orthopedic Rheumatology, Elisabeth- Klinik, Olsberg.
Institute of Pathology, Clemenshospital, Münster, Germany.
Orthop Rev (Pavia). 2019 Mar 27;11(1):7628. doi: 10.4081/or.2019.7628. eCollection 2019 Feb 26.
Nora-Lesion is a proliferation that normally develops out of an intact corticalis. The entity of this fibroostotic pseudotumor, as discussed in literature, is triggered from repeating trauma or reactive periosteitis. In the literature, there are more than 200 cases defined as Nora lesion. In the daily routine of medical offices or ambulances, the Nora- Lesion should be established as a differential diagnosis for a swelling of the foot. Our case report of a 49-year-old patient is the worldwide first description of a Nora lesion of the talus, as well as secondary of the calcaneus. In the immense differential diagnosis discussion for bony pathologies of the hindfoot the Nora-lesion should be now added.
诺拉病变是一种通常起源于完整皮质骨的增生性病变。正如文献中所讨论的，这种纤维骨化性假瘤的形成是由反复创伤或反应性骨膜炎引发的。文献中已有超过200例被定义为诺拉病变的病例。在医疗诊所或救护车的日常工作中，诺拉病变应被列为足部肿胀的鉴别诊断之一。我们对一名49岁患者的病例报告是世界上首次对距骨以及继发于跟骨的诺拉病变的描述。在关于后足骨病变的广泛鉴别诊断讨论中，现在应加入诺拉病变。
